|
KMID : 0895820210310040105
|
|
Journal of Oriental Rehabilitation Medicine
2021 Volume.31 No. 4 p.105 ~ p.116
|
|
|
Analysis of Lumbar Herniated Intervertebral Disc Patients’ Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service’s Patients Sample Data
|
|
Ko Jun-Hyuk
Yu Ji-Woong
Seo Sang-Woo
Seo Joon-Won
Kang Jun-Hyuk
Kim Tae-oh
Cho Whi-Sung
Seo Yeon-Ho
Ahn Jong-Hyun
Lee Woo-Joo
Kim Bo-Hyung
Choi Man-Kyu
Kim Sung-Bum
Kim Hyung-Suk
Kim Koh-Woon
Cho Jae-Heung
Song Mi-Yeon
Chung Won-Seok
|
|
|
Abstract
|
|
|
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service’s Patients Sample Data.
Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted.
The claim data were rebuilt with the operational concept of ‘episode of care’ and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method.
Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy.
As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group.
Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.
|
|
|
KEYWORD
|
|
|
Lumbar vertebrae, Intervertebral disc, Health services, Integrative medicine
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|